Individual
KATHY SUE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 N UNION AVE, SHAWNEE, OK 74801-7067
(405) 275-7100
Mailing address
101 N UNION AVE, SHAWNEE, OK 74801-7067
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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